Healthy
Conditions
Brief summary
This sub-study aims to assess the effect and breakdown of lysine administration, specifically examining whether it leads to increased plasma 2-AAA in healthy humans.
Detailed description
The significance of diabetes and related co-morbidities as considerable health concerns in the US and worldwide is clearly supported by the high incidence (estimated 9.3% of the US population), mortality burden (7th leading cause of death in the US), and rising costs ($245 billion/year). Strategies to identify individuals at high diabetic risk, and to modulate disease processes in these individuals before the onset of overt disease, would have a significant impact in reducing mortality, morbidity and healthcare costs. For this approach to be successful, early markers of disease that predict at-risk individuals before onset of dysregulated glycemic control are required, as well as discovering novel pathways for therapeutic targeting. The purpose of the study is to investigate a novel biomarker, α-aminoadipic acid (2-AAA), which may influence the risk of diabetes. 2-AAA has been identified as a novel predictor of diabetes development in humans, identifying at-risk individuals before any detectable glucose abnormalities. 2-AAA is a naturally occurring metabolite in the body, and it has no known adverse effects at normal physiological levels. 2-AAA is generated in the body from the breakdown of lysine. Lysine is one of the twenty essential amino acids, meaning that it is essential for human function, but that our body cannot manufacture it. Thus, it is acquired from dietary sources (such as meat, eggs, soybeans and legumes), with a recommended daily intake of 30 mg/kg/day. Amino acids are the building blocks of proteins, which are what allow our cells, organs and body to maintain structure and function. The investigators are interested in whether 2-AAA is increased in the body after consumption of lysine. The investigators' specific aim is to determine whether acute lysine administration leads to increased plasma 2-AAA in humans. Catabolism of lysine leads to generation of 2-AAA. In this study, the investigators will determine whether a single dose of 13C isotope labeled lysine leads to increased plasma 2-AAA present in the blood and urine of humans. In this sub-study, the investigators will ask 2 lean, healthy subjects (preferably individuals who participated in a previous study visit) to drink a beverage containing C-13 labeled lysine and the investigators will measure the level of 2-AAA in their blood plasma and urine at baseline (before ingestion) and serially post-ingestion. The amount of lysine subjects will be given is equivalent to that which is found in a 5 oz. serving of beef. This sub-study will allow us to further establish and understand the relationship between lysine and 2-AAA in healthy subjects, and inform future studies on how to study the effects of 2-AAA on diabetes risk.
Interventions
Carbon-13 is a stable naturally occurring heavy isotope of carbon. Inclusion of a 13C label on lysine allows for subsequent differentiation between endogenous and exogenous lysine and 2-AAA for calculation of clearance and excretion of the lysine bolus.
Because patients will have multiple blood draws during the course of the study, subjects will have an IV placed to reduce the number of needle sticks. To keep the vein open for blood collections, we will infuse Normal (0.9%) Saline (NS) at a rate of approximately 10ml/hr in order to keep the line open.
Sponsors
Study design
Eligibility
Inclusion criteria
* BMI 18 to \<25 kg/m2 * Men and women ages 18-45 years
Exclusion criteria
* Current use of prescription medications (apart from hormonal birth control) * Current use of amino acid supplements (including branched-chain amino acids) or supplemental protein (habitual consumption of protein powder, bars, shakes), and unwilling to temporarily discontinue use (1 week prior to study visit) * Individuals who currently use tobacco products or have done so in the previous 30 days * Prior or current cardiovascular disease, renal disease, or liver disease * Diabetes mellitus (taking insulin, other anti-diabetic agents, or diet-controlled) * Atrial fibrillation * Bleeding disorder or anemia * Positive pregnancy test * Women who are breastfeeding * Participation in another clinical trial within the previous 6 weeks prior to the study visit * Inability to provide written informed consent * Inability to fast for 8 hours
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peak Plasma 2-AAA Concentration Percentage Change From Baseline | Baseline and 2-6 hours | Alpha aminoadipic acid (2-AAA) concentration determined through mass spectrometry, quantified relative to standard. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Peak Urinary 2-AAA Concentration Percentage Change From Baseline | Baseline and 2-6 hours | Alpha aminoadipic acid (2-AAA) concentration determined through mass spectrometry, quantified relative to standard. |
Countries
United States
Participant flow
Recruitment details
Healthy subjects (N=2) were recruited in March 2017. Subjects who had previously participated in a pilot study were invited to return for an additional study visit.
Participants by arm
| Arm | Count |
|---|---|
| Healthy Two healthy subjects will be enrolled and each will undergo the same study procedures at one visit. | 2 |
| Total | 2 |
Baseline characteristics
| Characteristic | Healthy |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 2 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 1 Participants |
| Region of Enrollment United States | 2 participants |
| Sex: Female, Male Female | 1 Participants |
| Sex: Female, Male Male | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 2 |
| other Total, other adverse events | 1 / 2 |
| serious Total, serious adverse events | 0 / 2 |
Outcome results
Peak Plasma 2-AAA Concentration Percentage Change From Baseline
Alpha aminoadipic acid (2-AAA) concentration determined through mass spectrometry, quantified relative to standard.
Time frame: Baseline and 2-6 hours
Population: Two healthy subjects (one male, one female; one black, one white) were enrolled and completed the study visit.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Healthy | Peak Plasma 2-AAA Concentration Percentage Change From Baseline | 63.4 Percentage Change | Standard Deviation 55 |
Peak Urinary 2-AAA Concentration Percentage Change From Baseline
Alpha aminoadipic acid (2-AAA) concentration determined through mass spectrometry, quantified relative to standard.
Time frame: Baseline and 2-6 hours
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Healthy | Peak Urinary 2-AAA Concentration Percentage Change From Baseline | 39 Percentage change | Standard Deviation 99 |